Organization
VERMONT CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 10690
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SENIOR DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1 DORSET ST, SOUTH BURLINGTON, VT 05403-6232
(802) 651-1449
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028075
—
VT
01
—
4704917
NCPDP
VT
Enumeration date
07/22/2016
Last updated
01/23/2017
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